袖状胃切除术治疗病态肥胖的结果：一种安全有效的手术方法？
Outcomes of sleeve gastrectomy for morbid obesity: a safe and effective procedure?
机构信息
Department of General Surgery, Royal Perth Hospital, 6/10 McCourt St, West Leederville, Perth, WA 6007, Australia.
出版信息
Int J Surg. 2010;8(1):69-71. doi: 10.1016/j.ijsu.2009.11.004. Epub 2009 Nov 24.
BACKGROUND
Sleeve gastrectomy is being performed with increasing frequency in Australia for the treatment of morbid obesity. The aims of this study were to show that sleeve gastrectomy can be performed safely with a low rate of complications and effective short to medium term weight loss.
METHODS
A retrospective review of prospectively collected data from a single surgeon series between 2006 and 2009.
RESULTS
A total of 185 patients were treated with laparoscopic sleeve gastrectomy (LSG) over a three-year period. The percentage excess weight loss (%EWL) was 47.2% at one year, 60.7% at two years and 66% at three years. There were no leaks; two staple line bleeds requiring reoperation via laparoscopy, one port site infection and one port site incisional hernia. There were no deaths. The average operating time was 111 min and the average hospital length of stay was 2.35 days.
CONCLUSION
Laparoscopic sleeve gastrectomy can be performed safely and with excellent weight loss. More long term follow up is required.
背景
袖状胃切除术在澳大利亚越来越多地被用于治疗病态肥胖。本研究旨在证明袖状胃切除术可以安全进行，并发症发生率低，且具有有效的短期至中期减重效果。
方法
回顾性分析 2006 年至 2009 年期间一位外科医生进行的前瞻性收集数据的单中心系列研究。
结果
在三年期间，共有 185 例患者接受了腹腔镜袖状胃切除术（LSG）。术后 1 年、2 年和 3 年的体重减轻百分比（%EWL）分别为 47.2%、60.7%和 66%。没有发生漏诊；2 例因吻合口出血需通过腹腔镜再次手术，1 例发生切口感染，1 例发生切口疝。无死亡病例。平均手术时间为 111 分钟，平均住院时间为 2.35 天。
结论
腹腔镜袖状胃切除术安全可行，减重效果显著。需要进行更多的长期随访。
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